Melborne 26 th. November 2007, Retest AMC clinical exam 1. 21 year old uni student presents on request from co-students as he is not doing well at uni. has difficulty finishing his tasks and every time he thinks of the word "king" he has to get up and walk around the room 3 times. task: take hx (for 6 min), diagnosis and differential diagnosis and your management. case of OCD. 2. GP setting. 40 year old man with hx of dysuria and frequency. Urin stix showed +nitrate. No phx of UTI. Past medical hx: nil. He is allergic to penicillin. Task: tell pt about your management and treatment and possible cause of his sx. Case of UTI in man. 3. GP setting. 45 year old lady with non-healing leg ulcer for 7 months. Task: take hx, get examination findings from examiner and explain the cause. On further hx taking she is diabetic and has hx of DVT post leg fracture (same leg as ulcer). Case of venous insufficient. 4. GP setting. 55 year old man with episode of collapse and LOC while playing tannis. Task: take hx, get examination findings from the examiner and tell pt what you think the cause is. (no further investigation required). Case of aortic stenosis. 5. GP setting. Mother brought 13 year old daughter in because she is concern about her poor appetite and eating habit. BMI: 17.5. Task: take further hx and your management. Case of anorexia nervosa. 6.50 year old lady presents with R leg swelling and tenderness. She is on HRT. Both her mother and sister had DVT. She is concern she has the same. GP setting. Task: what investigation would you do, get your investigation finding from the examiner, tell pt the diagnosis and your management plan and tratment. Case of DVT. 7. GP setting. 25 year old lady presents with vaginal bleeding after 8 weeks amenorrhea. Task: take further hx, get examination finding from the examiner and tell pt the possible diagnosis and your further management. Case of ectopic pregnancy. 8. GP setting: 65 year old man referred by another GP with few months hx of lethargia and deranged LFTâ€™s. (very long stem). ALP: â€¦. (normal range) GGT: 108 (high) ALT: 135 (high) Coags:â€¦ (normal) FBC: were normal. Task: tell pt about what investigation you would order. Case of haemochromatosis.